Case Study: John Doe

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Transcript of Case Study: John Doe

Case Study: John DoeKINS 6700Julian Pisczak Life-Status Married; 2 children 2 sisters, 1 autistic brother Many friends around the community and neighborhood Good job environment/well liked by co-workersBoth family and friends are supportive and encourage behavior changeLimited PA (no structured program)Eats fast food quite regularly for lunch, has home cooked meals for dinnerEnjoys meeting up with friends to eat and drink on the weekends 3 Theories for Nutrition1. Theory of Planned Behavior (TPB)planning ahead will make eating healthier easier than having to make a decision on the spotwon't be pressured by co-workers to get fast food if he brings his lunch already made beforehandhas strong intention to change behavior and improve diet2. Transtheoretical Model (TTM)"preparation" stagewife has similar goals to reduce weight (support)use motivation to improve QOL to promote behavior change 3. Health Belief Model (HBM)use the perceived benefits of improved diet on health use his wife as a cue to action as a strategy to initiate behavior Nutrition Plan Initial Obtain information about serving sizes, what foods to eat, how often, etc.Limit alcohol consumption Increase water intake while decreasing Soda and sugary beverage intake Decrease the amount of fast food and make small substitutions for each meal ProgressionContinue to make substitutions for better options at every mealEngage in meal preparation to have healthier food readily available Limit fast food to 1-2 times a weekContinue to increase water intake and limit alcohol and soda intake Emotional Health StatusNo anxiety or depressionSleep challenges come from sleep apnea, but none from emotional stressSleep apnea causing lowered sleep quality High stress jobAutistic brother, requiring a lot of care and attention Constantly feels tired Health Status: PhysicalMale52 years old6'1" 275 lbs. (BMI = 36.3) OBESE!!Non-smokerHas PAD (stents implanted in lower right leg)Sleep Apnea (uses mask to sleep)Pre-diabetic Pre-hypertensive Doesn't take any medications Occasional knee pain and bodily achesExteremely active when younger, limited physical activity nowEnjoys yardwork and mowing the lawn Lifestyle constraints & LifestageMiddle-aged adult; may limit some ability of activityWorks full-time manufacturing jet-engines (standing/walking 10 hour shifts)Works in an open warehouse with tons of spaceFinancially secure with health insurance and work benefits Lives in a neighborhood and community with parks and gyms availableCurrent diseases and orthopedic state may limit PA ability 3 Theories for PA1. Transtheoretical Model (TTM)"contemplation" stage acknowledges he needs more PA and knows risks assoc. with being sedentarycan help John balance the pros and cons of changing his behaviorre-evaluate himself and relate how PA will help John reach his goals2. Self-Determination Theory (SDT)John has the needs for relatedness, competence, and autonomy Find activities that meet at least 1 of these basic needs Find a motivation that will promote behavior for reasons of pleasure and fun 3. Health Belief Model (HBM)John has a current disease and has a desire to get healthy He understands that inactivity can reduce his QOL and lead to other chronic diseaseSince John was highly active when younger, has the self-efficacy for success with behavior change Movement PlanInitialObtain 10 min. of PA each day (continue current PA with yardwork) 3-5 days/week; preferably most days Focus on aerobic activities (walking, jogging, biking)Break up sedentary time any way possibleTrying to increase EE ProgressionAdd 5 min. of PA each week to build up to the daily recommendations 3-5 days/week; preferably most daysFocus on large muscle aerobic activities (walking, jogging, biking)Look to incorporate bodyweight exercises Find a reasonable gym to begin including resistance training Theory NOT chosen for PA1. Self-Efficacy Theory John has the knowledge that he is capable of performing the PAhas experiences with success already from his past with PATheory NOT used for Nutrition 1. Relapse Prevention If John is using the 3 previous theories there won't be any risky situations to be inThere isn't any sign of alcohol abuse or compulsive behavior towards fast food and junk food John's desire to improve his behavior outweighs the occurrence of constant setbacks